Stepwell Podiatry Group Inc

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

STEPWELL PODIATRY GROUP INC

Practice address

473 E Carnegie Drive
Suite 200
San Bernardino, CA 92408

Phone

(909) 244-7430

Fax

(909) 495-1380

NPI assigned

Jun 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eddie Avila

Title

Secretary/Treasurer

Phone

(909) 244-7430

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1316622699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E CARNEGIE DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-244-7430",
            "fax_number": "909-495-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E CARNEGIE DRIVE",
            "address_2": "SUITE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92408",
            "telephone_number": "909-244-7430",
            "fax_number": "909-495-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPWELL PODIATRY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "AVILA",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "909-244-7430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Lynne Stephen
• Carmen Stephens, DSW, LPCC, CRC
• Keith Stephens
• Rochelle Stephens
• Tamara Stephens
• Danielle Megan Stettler
• Steven P. Bleiweiss MD, Inc
• Jonathan Stevens
• Stephen Stevens, P.A.
• Jaffna Sheen Dayag Stevenson, MSN, FNP-BC, NP-C

• Podiatrist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.